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Profilaxis preexposición en Guyana: conectando poblaciones clave y otros grupos vulnerables
1Rajiv Gandhi University of Science and Technology, Georgetown, Guyana.
IJID regions
|January 22, 2026
Resumen
La concienciación sobre la profilaxis preexposición (PrEP) contra el VIH es moderada en Guyana, pero su adopción es baja debido a problemas de acceso y de los proveedores. Se necesitan estrategias para mejorar el uso de la PrEP entre las poblaciones clave.
Área de la Ciencia:
- Salud Pública; Prevención del VIH; Disparidades en Salud
Sus antecedentes:
- La profilaxis preexposición (PrEP) es una estrategia eficaz de prevención del VIH.
- La adopción de la PrEP sigue siendo baja entre las poblaciones clave y vulnerables en Guyana.
- Comprender el conocimiento, la adopción y las barreras es crucial para mejorar la accesibilidad de la PrEP.
Objetivo del estudio:
- Evaluar el conocimiento, la adopción y las barreras de la PrEP entre personas seronegativas en Guyana.
- Identificar estrategias para mejorar la accesibilidad y utilización de la PrEP.
Principales métodos:
- Estudio transversal de métodos mixtos que involucró a 90 adultos seronegativos en Guyana.
- Se recopilaron datos cuantitativos a través de cuestionarios; datos cualitativos de entrevistas y grupos focales.
- Se emplearon análisis estadísticos (chi-cuadrado) y temáticos.
Principales resultados:
- El 59% de los participantes conocía la PrEP, principalmente a través de los medios de comunicación; solo el 18% la recibió de un proveedor.
- Las barreras clave incluyeron acceso limitado (48%), miedo a los efectos secundarios (27%) y poca participación de los proveedores.
- A pesar de la baja adopción, el 57% expresó su disposición a usar la PrEP y el 74% la recomendaría.
Conclusiones:
- La conciencia moderada sobre la PrEP en Guyana se ve obstaculizada por barreras sistémicas, desinformación e inaccesibilidad a la atención médica.
- El fortalecimiento de la capacitación de los proveedores y la integración de la PrEP en los servicios de rutina son esenciales.
- Las iniciativas de extensión comunitaria son vitales para mejorar la adopción de la PrEP entre los grupos vulnerables.
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